Jersey Finger Injury Treatment Sedro Woolley WA

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Jennifer Gayle Bielas, DDS
(360) 854-0606
2261 Hospital Dr Ste 103
Sedro Woolley, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joel Gardner, DDS
(360) 675-8640
651 SE Maylor St
Burlington, WA
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jonathan B Shafer
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialty
Orthopedic Surgery

Data Provided By:
Curtis W Rodin
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialty
Orthopedic Surgery

Data Provided By:
Richard V Williamson
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialty
Orthopedic Surgery

Data Provided By:
David Scott Smith, MD
(360) 923-7000
16442 Country Club Dr
Burlington, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1976

Data Provided By:
Don Howard Bodley, MD
(360) 428-2500
1400 E Kincaid St
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1969

Data Provided By:
Gary James Clancey, MD
(360) 424-2400
1401 S Laventure Rd
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1973

Data Provided By:
Kenneth Marshall Oates, MD
(360) 424-7041
1311 E Division St
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1990

Data Provided By:
Leonard B Kolodychuk, MD
(360) 392-7734
217 S 13th St
Mount Vernon, WA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Alberta, Fac Of Med, Edmonton, Alb, Canada
Graduation Year: 1984
Hospital
Hospital: Island Hospital, Anacortes, Wa; Skagit Vly Hosp, Mount Vernon, Wa

Data Provided By:
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Treatment for Jersey Finger Injury

Jersey finger injury refers to the damage done to the tip of the ring finger when an athlete grabs the shirt (jersey) of another player while that player is pulling away. The hand grasping the jersey is closed in a fist. But the force of the player wearing the shirt pulls the tip of the ring finger into extension.

The result is a rupture of the tendon away from the bone. A piece of the bone may come with the tendon (still attached). This is called an avulsion injury. There can be a bone fracture along with the tendon rupture.

And although it sounds like this is an injury only an athlete can have, in fact, "jersey" finger injuries occur in nonathletes of all ages. Older adults with rheumatoid arthritis or other inflammatory joint conditions experience this injury as well. The same mechanism takes place: forceful extension of the tip of the finger when it is bent that causes the problem.

Any finger can be affected. The ring finger seems to be the most commonly injured digit because of its unique anatomy. It is the weakest of the fingers and least able to move by itself. The flexor digitorum profundus (or FDP) tendon pulls away from the bone more easily than any other finger tendon.

When the fingers are in a fisted position, the ring finger is actually just a tiny bit more forward than the other fingers. So it absorbs more of the force during a pull-away maneuver compared with the other fingers.

Treatment is based on a classification scheme. The injury can be described as a type I, II, III, IV, or V level of retraction. Retraction refers to how far back toward the palm the tendon has recoiled. Type I describes a flexor digitorum profundus tendon (FDP) that has pulled away from the bone and snapped all the way back to the palm.

Type II injury means the tendon has pulled away from the tip of the finger taking a tiny bit of bone with it but without retracting past the next bone. With a type III injury, the tendon has avulsed with a large bone fragment that has gotten caught or entrapped without moving.

Type IV level of retraction has a ruptured tendon with bone avulsion and retraction back toward the palm. And Type V is a ruptured tendon with bone avulsion. The bone where the tendon has pulled away is broken into tiny pieces (called a comminuted fracture). Type V injuries are further divided into Va and Vb. Type Va means the damage is outside the joint (extra-articular). Type Vb tells us there is intraarticular (inside the joint) damage.

When planning the type of surgery to perform, the surgeon evaluates how far back the tendon has retracted, how much bone damage is present, and if the joint is involved. For example, full retraction of the tendon often means the pulley system that holds the tendon in place has also been disrupted. When the force of the injury is enough to strip the tendon from the bone carrying the pulley mechanism along with it, then the blood supply is also affected.

Besides considering t...

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